Individual
TRISHA MEREDITH SHORB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
646 N CLARK ST, POWELL, WY 82435-1918
(307) 754-1581
Mailing address
PO BOX 1165, POWELL, WY 82435-1165
(307) 754-1581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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